| NPI | 1770970238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMILA MOSSADEGHI Lmft 310-779-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 84931) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |